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CLEARWATER MODERN DENTISTRY, PA - Florida Company Profile

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Company Details

Entity Name: CLEARWATER MODERN DENTISTRY, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

CLEARWATER MODERN DENTISTRY, PA is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 01 Apr 2020 (5 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 15 Apr 2024 (a year ago)
Document Number: P20000027558
FEI/EIN Number 86-2155228

Federal Employer Identification (FEI) Number assigned by the IRS.

Mail Address: 17000 RED HILL AVE, IRVINE, CA, 92614, US
Address: 2544 N. MCMULLEN BOOTH ROAD, CLEARWATER, FL, 33761, US
ZIP code: 33761
County: Pinellas
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Button Nicholas R Director ATTN: LEGAL DEPARTMENT, IRVINE, CA, 92614
Pham Minh B Director ATTN: LEGAL DEPARTMENT, IRVINE, CA, 92614
COGENCY GLOBAL INC. Agent -
Pham Minh B President ATTN: LEGAL DEPARTMENT, IRVINE, CA, 92614
Pham Minh B Treasurer ATTN: LEGAL DEPARTMENT, IRVINE, CA, 92614
Button Nicholas R Secretary ATTN: LEGAL DEPARTMENT, IRVINE, CA, 92614
Ghazal Carolyn B Director 17000 Red Hill Ave., Irvine, CA, 92614

National Provider Identifier

NPI Number:
1760156889
Certification Date:
2024-04-29

Authorized Person:

Name:
MINH PHAM
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fax:
3039520892
Fax:
7272874727

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000051028 CLEARWATER MODERN DENTISTRY ACTIVE 2024-04-16 2029-12-31 - 17000 RED HILL AVENUE, ATTENTION: LEGAL DEPARTMENT, IRVINE, CA, 92614
G21000108403 NORTHWOOD MODERN DENTISTRY ACTIVE 2021-08-20 2026-12-31 - 17000 RED HILL AVENUE, ATTENTION: LEGAL DEPARTMENT, IRVINE, CA, 92614

Events

Event Type Filed Date Value Description
NAME CHANGE AMENDMENT 2024-04-15 CLEARWATER MODERN DENTISTRY, PA -
REGISTERED AGENT ADDRESS CHANGED 2023-06-13 115 N. CALHOUN ST., STE 4, TALLAHASSEE, FL 32301 -
CHANGE OF PRINCIPAL ADDRESS 2022-05-20 2544 N. MCMULLEN BOOTH ROAD, CLEARWATER, FL 33761 -
CHANGE OF MAILING ADDRESS 2022-05-20 2544 N. MCMULLEN BOOTH ROAD, CLEARWATER, FL 33761 -
REGISTERED AGENT NAME CHANGED 2022-05-20 COGENCY GLOBAL INC. -

Documents

Name Date
ANNUAL REPORT 2024-04-16
Name Change 2024-04-15
ANNUAL REPORT 2023-04-14
Reg. Agent Change 2022-05-20
ANNUAL REPORT 2022-03-16
ANNUAL REPORT 2021-04-09
Domestic Profit 2020-04-01

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Date of last update: 03 Jun 2025

Sources: Florida Department of State